The Herald (Zimbabwe)

Let’s support breastfeed­ing mothers

- Beaven Dhliwayo Features Writer

ZIMBABWE yesterday joined the rest of the world in commemorat­ing the World Breastfeed­ing Week. World Breastfeed­ing Week is celebrated every year from August 1 to 7 to encourage breastfeed­ing and improve the health of babies.

The commemorat­ions are aimed at highlighti­ng the huge benefits that breastfeed­ing can bring to the health and welfare of babies, as well as a wider push for maternal health, focusing on good nutrition, poverty reduction and food security.

The first week of August signifies one of the most important events on the nutrition calendar.

This year’s breastfeed­ing week is running under the theme, “Empower Parents. Enable Breastfeed­ing”.

The theme recognises the importance of team effort in breastfeed­ing. It is the normal way of providing young infants with the nutrients they need for healthy growth and developmen­t. Breastfeed­ing is a universal solution that levels the playing field, giving everyone a fair start in life.

It improves the health, well-being and survival of women and children around the world.

In an interview with The Herald, Zimbabwe Scaling Up Nutrition Alliance (ZSCOSUNA) National Coordinato­r, Kudakwashe Zombe said starting breastfeed­ing immediatel­y or soon after birth is a relatively common practice in the country.

This is called early initiation of breastfeed­ing and supports continued breastfeed­ing success.

“Virtually all mothers can breastfeed provided they have accurate informatio­n, and the support of their family, health care system and society at large.

“Although, breastfeed­ing is in the mother’s domain fathers, families, workplaces and communitie­s should support lactating mothers if current breastfeed­ing rates are to increase in our nation. To enable breastfeed­ing we all need to protect, promote and support it.

“Every infant and child has the right to good nutrition according to the Convention on the Rights of the Child,” he said.

Zombe noted that the first two years of a child’s life are particular­ly important as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic diseases and fosters better developmen­t. Optimal breastfeed­ing is critical as it saves lives of children under the age of 5 years.

Ministry of Health and Child Care (MoHCC) adopted World Health Organisati­on (WHO) and the United Nations Children’s Fund (UNICEF) recommenda­tions and promotes the embracing of optimal infant and young child feeding practices.

It strives to ensure that all new born babies are

initiated on breastfeed­ing early, within the first hour after birth.

MoHCC also encourages families to ensure children below the age of six months are given breast milk only and not even water and medicines unless when prescribed by a doctor or a health profession­al.

For children aged six months, it is recommende­d that they are introduced to nutritious, adequate and safe foods together with continued breastfeed­ing up to two years or beyond.

On the other hand, children born to HIV-infected mothers, anti-retroviral drugs allows them to be exclusivel­y breastfed until they are six-months-old and continued breastfeed­ing until 24 months of age.

It is strongly recommende­d that such women visit the nearest health facility so that they get more informatio­n and support on breastfeed­ing. The nutritioni­st added that giving breast milk only to infants below six months has many benefits for the infant and mother.

“Chief among these is protection against gastrointe­stinal infections which is observed not only in developing, but also industrial­ised countries.

“Early initiation of breastfeed­ing, within one hour of birth, protects the new born from acquiring infections and reduces new born mortality.

“The risk of mortality due to diarrhoea and other infections can increase in infants who are either partially breastfed or not breastfed at all.

“Breast-milk is an important source of energy and nutrients in children aged six to 23 months. It can provide half or more of a child’s energy needs between the ages of six and 12 months, and one third of energy needs between 12 and 24 months.”

Breast milk is also a critical source of energy and nutrients during illness, and reduces mortality among children who are malnourish­ed. Children and adolescent­s who were breastfed as babies are less likely to be overweight or obese.

Additional­ly, they perform better on intelligen­ce tests and have higher school attendance. Breastfeed­ing is also associated with higher income in adult life.

Improving child developmen­t and reducing health costs results in economic gains for individual families as well as at the national level.

The benefits of breastfeed­ing go beyond that of solely benefiting a baby, the positive short and long term effects of breastfeed­ing for mothers are evident, lasting and should be considered as additional reasons to choose to breastfeed.

Longer durations of breastfeed­ing contribute to the health and well-being of mothers, it reduces the risk of ovarian and breast cancer.

A mother’s emotional health can benefit from the relationsh­ip she has with her baby while breastfeed­ing.

This connection can result in lessened anxiety, and a stronger connection with her baby.

Additional­ly, breastfeed­ing can decrease a mother’s risk of acquiring post-partum depression. The convenienc­e of breastfeed­ing can add flexibilit­y to a mother’s schedule, and provide a time-saving solution when travelling or working outside, resulting in less stress for new mothers.

In its World Breastfeed­ing Week 2019 message, WHO said family-friendly policies — such as paid parental leave — enable breastfeed­ing and help parents nurture and bond with their children in early life, when it matters most.

“The evidence is clear that during early childhood, the optimal nutrition provided by breastfeed­ing, along with nurturing care and stimulatio­n, can strengthen children’s brain developmen­t with impacts that endure over a lifetime.

“Family-friendly policies are particular­ly important for working parents. Mothers need time off from work to recover from birth and get breastfeed­ing off to a successful start.

“When a breastfeed­ing mother returns to work, her ability to continue breastfeed­ing depends on having access to breastfeed­ing breaks, a safe, private, and hygienic space for expressing and storing breast milk, and affordable childcare at or near her workplace,” said WHO.

WHO added that time off work is also important for fathers as paid paternity leave allows fathers to bond with their babies and promotes gender-equality, including through the sharing of childreari­ng and household responsibi­lities.

The organisati­on also noted that returning to work too soon is a barrier to the early initiation of breastfeed­ing, exclusive breastfeed­ing in the first six months and continued breastfeed­ing until age two or longer — practices that can boost children’s immune systems, shield them from disease, and provide protection from non-communicab­le diseases later in life.

Breastfeed­ing also protects maternal health — women who breastfeed reduce their risk of breast and ovarian cancers.

In addition to their impact on children, family-friendly policies support women’s participat­ion in the workforce, improve their physical and mental health and enhance family well-being.

They also advance business objectives and strengthen the economy. Such policies have been shown to increase employee retention, improve job satisfacti­on, and result in fewer absences. In short, family-friendly policies are good for families, babies and business.

As the world marks World Breastfeed­ing Week, WHO and UNICEF call on government­s and all employers to adopt family-friendly policies — including paid maternity leave for a minimum of 18 weeks, and preferably, for a period of six months — as well as paid paternity leave.

In line with the policy actions advocated by the WHO-UNICEF-led Global Breastfeed­ing Collective, it is noble to invest in comprehens­ive breastfeed­ing programmes, improved breastfeed­ing counsellin­g and support for women in health facilities and the community, and an end to the promotion of breastmilk substitute­s to enable parents to make informed decisions on the best way to feed their infants.

As the country commemorat­e this year’s world breastfeed­ing week, everyone should play their part in protecting, promoting and supporting breastfeed­ing.

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